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Organization

INTERNATIONAL CONSULTING GROUP

Active
Other names
ICG ASSISTIVE TECHNOLOGY SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
MS. IWONA KORZENIOWSKA PT (PRESIDENT)
(312) 943-3600
Entity
Organization

Contact information

Practice address
1467 N ELSTON AVE STE 103, CHICAGO, IL 60642-2449
(312) 943-3600
(312) 943-3096
Mailing address
1467 N ELSTON AVE STE 103, CHICAGO, IL 60642-2449
(312) 943-3600
(312) 943-3096

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
203000284
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103034
IL
Enumeration date
02/12/2009
Last updated
04/18/2024
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